- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $60,255.96 / $95,499.26
| Facility | | $43,651.58 | $60,255.96 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $51,286.14 / $81,283.05
| Facility | | $35,481.34 | $51,286.14 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $64,565.42 / $95,499.26
| Facility | | $39,810.72 | $64,565.42 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $58,884.37 / $95,499.26
| Facility | | $34,673.69 | $58,884.37 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $39,810.72 / $67,608.30
| Facility | | $25,118.86 | $39,810.72 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $64,565.42 / $91,201.08
| Facility | | $8,709.64 | $64,565.42 | $91,201.08 |